IBAUTL5 ;ALB/CPM - MEANS TEST BILLING UTILITIES (CON'T.) ; 02-JAN-92
;;Version 2.0 ; INTEGRATED BILLING ;**15**; 21-MAR-94
;;Per VHA Directive 10-93-142, this routine should not be modified.
;
PASS ; Find unbilled charges for an event and pass to Accounts Receivable.
; Input: IBEVDA, IBY Output: IBCHCDA, IBCHPDA are reset to 0.
N IBNOS,IBACTN
S IBACTN=0 F S IBACTN=$O(^IB("AF",IBEVDA,IBACTN)) Q:'IBACTN!(IBY<1) I IBACTN'=IBEVDA,$P($G(^IB(IBACTN,0)),"^",5)=1 S IBNOS=IBACTN D FILER
S (IBCHCDA,IBCHPDA)=0 Q
;
FILER ; Pass charge to Accounts Receivable. Input: IBNOS
; - first, get a bill number and build a complete charge..
N IBATYP,IBNOW D NOW^%DTC S IBNOW=%
;S IBTOTL=0,IBATYP=$P($G(^IB(IBNOS,0)),"^",3)
;D BILLNO^IBAUTL K IBARTYP I Y<1 S IBY=Y G FILERQ
;S DIE="^IB(",DA=IBNOS,DR=".05////2;.11////"_IBIL_";.12////"_IBTRAN
;D ^DIE K DIE,DR,DA I $D(Y) S IBY="-1^IB020" G FILERQ
;
; - doing IVM-related back-billing?
I $G(IBJOB)=9 S DIE="^IB(",DA=IBNOS,DR=".05////21" D ^DIE K DIE,DA,DR G FILERQ
;
; - and then pass the charge to A/R.
S IBSEQNO=1,IBDUZ=DUZ D ^IBR K IBSEQNO,IBDUZ,IBARTYP,IBN
I Y<1 S IBY=Y,IBWHER=IBWHER+25 G FILERQ
;I $G(IBJOB)=1,IBNOS S ^TMP($J,"IBAMTC","I",+$G(DFN),IBNOS)=""
FILERQ Q
;
LAST ; Find Last Billed date, if one exists, for pts. w/o billable events
; Input: DFN, IBADMDT Output: IBBDT (if past event exists)
N IBD,IBDATE,IBTEMP,J,DA S IBD=IBADMDT\1,J=-9999999,(IBDATE,DA)=0
F S J=$O(^IB("AFDT",DFN,J)) Q:'J!(-J<IBD) D
. F S DA=$O(^IB("AFDT",DFN,J,DA)) Q:'DA D
.. I $P($G(^IB(DA,0)),"^",8)["ADMISSION" S IBTEMP=$P(^(0),"^",18) D
... I 'IBDATE S IBDATE=IBTEMP Q
... I IBTEMP>IBDATE S IBDATE=IBTEMP
I IBDATE S X=IBDATE D H^%DTC S IBBDT=%H+1
Q
;
DIEM() ; Find the earliest date for which the per diem charge may be billed.
Q $S($P($G(^IBE(350.9,1,0)),"^",12):$P(^(0),"^",12),1:9999999)
;
SECT(FTS) ; Find the billable bedsection.
; Input: Facility Treating Specialty (IEN from file #45.7)
; Returned: Billable bedsection from file 399.1 (MCCR UTILITY), or
; 0 if the specialty does not have a corresp. bedsection
S FTS=$P($G(^DIC(42.4,+$P($G(^DIC(45.7,+FTS,0)),"^",2),0)),"^",5)
Q $S(FTS]"":+$O(^DGCR(399.1,"B",FTS,0)),1:0)
;
CONT(DFN) ; Find continuous patient discharge date.
; Input: DFN Returned: 0 - not continuous
; 9999999 - still continuous, or
; actual discharge date from continuous stay
N X S X=0
I $O(^IBE(351.1,"B",DFN,0)) S X=$P($G(^IBE(351.1,+$O(^(0)),0)),"^",2) S:'X X=9999999
Q X
;
STD(DFN) ; Is the patient's A/R Statement date 4 days from now?
; Input: DFN Returned: Statement date in 4 days? (1 - yes, 0 - no)
S X1=DT,X2=4 D C^%DTC
Q $$PST^PRCAFN(DFN_";DPT(")=+$E(X,6,7)
;
OE(DGPMDA) ; Was the patient admitted for Observation & Examination?
; Input: DGPMDA - pointer to 0th node of pt mvt (adm) in file #405
; Returned: O&E Admission? (1 - yes, 0 - no)
N AR,SOA,DGPM0
S DGPM0=$G(^DGPM(+DGPMDA,0))
S AR=+$P(DGPM0,"^",12),SOA=+$G(^DGPT(+$P(DGPM0,"^",16),101))
Q $D(^DIC(43.4,"D",17.45,AR))!($D(^DIC(45.1,"B","1T",SOA)))
;
ASIH(PM) ; Is patient movement an ASIH movement?
; Input: PM - 0th node of patient movement in file #405
; Returned: ASIH Movement? (1 - yes, 0 - no)
Q "^13^14^40^41^42^43^44^45^46^47^"[("^"_$P($G(PM),"^",18)_"^")
;
CVA(DFN) ; Is CHAMPVA the patient's Primary Eligibility?
; Input: DFN Returned: Prim Elig = CHAMPVA? (1 - yes, 0 - no)
Q $P($G(^DIC(8,+$G(^DPT(+$G(DFN),.36)),0)),"^",9)=12
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HIBAUTL5 3629 printed Dec 13, 2024@02:08:08 Page 2
IBAUTL5 ;ALB/CPM - MEANS TEST BILLING UTILITIES (CON'T.) ; 02-JAN-92
+1 ;;Version 2.0 ; INTEGRATED BILLING ;**15**; 21-MAR-94
+2 ;;Per VHA Directive 10-93-142, this routine should not be modified.
+3 ;
PASS ; Find unbilled charges for an event and pass to Accounts Receivable.
+1 ; Input: IBEVDA, IBY Output: IBCHCDA, IBCHPDA are reset to 0.
+2 NEW IBNOS,IBACTN
+3 SET IBACTN=0
FOR
SET IBACTN=$ORDER(^IB("AF",IBEVDA,IBACTN))
if 'IBACTN!(IBY<1)
QUIT
IF IBACTN'=IBEVDA
IF $PIECE($GET(^IB(IBACTN,0)),"^",5)=1
SET IBNOS=IBACTN
DO FILER
+4 SET (IBCHCDA,IBCHPDA)=0
QUIT
+5 ;
FILER ; Pass charge to Accounts Receivable. Input: IBNOS
+1 ; - first, get a bill number and build a complete charge..
+2 NEW IBATYP,IBNOW
DO NOW^%DTC
SET IBNOW=%
+3 ;S IBTOTL=0,IBATYP=$P($G(^IB(IBNOS,0)),"^",3)
+4 ;D BILLNO^IBAUTL K IBARTYP I Y<1 S IBY=Y G FILERQ
+5 ;S DIE="^IB(",DA=IBNOS,DR=".05////2;.11////"_IBIL_";.12////"_IBTRAN
+6 ;D ^DIE K DIE,DR,DA I $D(Y) S IBY="-1^IB020" G FILERQ
+7 ;
+8 ; - doing IVM-related back-billing?
+9 IF $GET(IBJOB)=9
SET DIE="^IB("
SET DA=IBNOS
SET DR=".05////21"
DO ^DIE
KILL DIE,DA,DR
GOTO FILERQ
+10 ;
+11 ; - and then pass the charge to A/R.
+12 SET IBSEQNO=1
SET IBDUZ=DUZ
DO ^IBR
KILL IBSEQNO,IBDUZ,IBARTYP,IBN
+13 IF Y<1
SET IBY=Y
SET IBWHER=IBWHER+25
GOTO FILERQ
+14 ;I $G(IBJOB)=1,IBNOS S ^TMP($J,"IBAMTC","I",+$G(DFN),IBNOS)=""
FILERQ QUIT
+1 ;
LAST ; Find Last Billed date, if one exists, for pts. w/o billable events
+1 ; Input: DFN, IBADMDT Output: IBBDT (if past event exists)
+2 NEW IBD,IBDATE,IBTEMP,J,DA
SET IBD=IBADMDT\1
SET J=-9999999
SET (IBDATE,DA)=0
+3 FOR
SET J=$ORDER(^IB("AFDT",DFN,J))
if 'J!(-J<IBD)
QUIT
Begin DoDot:1
+4 FOR
SET DA=$ORDER(^IB("AFDT",DFN,J,DA))
if 'DA
QUIT
Begin DoDot:2
+5 IF $PIECE($GET(^IB(DA,0)),"^",8)["ADMISSION"
SET IBTEMP=$PIECE(^(0),"^",18)
Begin DoDot:3
+6 IF 'IBDATE
SET IBDATE=IBTEMP
QUIT
+7 IF IBTEMP>IBDATE
SET IBDATE=IBTEMP
End DoDot:3
End DoDot:2
End DoDot:1
+8 IF IBDATE
SET X=IBDATE
DO H^%DTC
SET IBBDT=%H+1
+9 QUIT
+10 ;
DIEM() ; Find the earliest date for which the per diem charge may be billed.
+1 QUIT $SELECT($PIECE($GET(^IBE(350.9,1,0)),"^",12):$PIECE(^(0),"^",12),1:9999999)
+2 ;
SECT(FTS) ; Find the billable bedsection.
+1 ; Input: Facility Treating Specialty (IEN from file #45.7)
+2 ; Returned: Billable bedsection from file 399.1 (MCCR UTILITY), or
+3 ; 0 if the specialty does not have a corresp. bedsection
+4 SET FTS=$PIECE($GET(^DIC(42.4,+$PIECE($GET(^DIC(45.7,+FTS,0)),"^",2),0)),"^",5)
+5 QUIT $SELECT(FTS]"":+$ORDER(^DGCR(399.1,"B",FTS,0)),1:0)
+6 ;
CONT(DFN) ; Find continuous patient discharge date.
+1 ; Input: DFN Returned: 0 - not continuous
+2 ; 9999999 - still continuous, or
+3 ; actual discharge date from continuous stay
+4 NEW X
SET X=0
+5 IF $ORDER(^IBE(351.1,"B",DFN,0))
SET X=$PIECE($GET(^IBE(351.1,+$ORDER(^(0)),0)),"^",2)
if 'X
SET X=9999999
+6 QUIT X
+7 ;
STD(DFN) ; Is the patient's A/R Statement date 4 days from now?
+1 ; Input: DFN Returned: Statement date in 4 days? (1 - yes, 0 - no)
+2 SET X1=DT
SET X2=4
DO C^%DTC
+3 QUIT $$PST^PRCAFN(DFN_";DPT(")=+$EXTRACT(X,6,7)
+4 ;
OE(DGPMDA) ; Was the patient admitted for Observation & Examination?
+1 ; Input: DGPMDA - pointer to 0th node of pt mvt (adm) in file #405
+2 ; Returned: O&E Admission? (1 - yes, 0 - no)
+3 NEW AR,SOA,DGPM0
+4 SET DGPM0=$GET(^DGPM(+DGPMDA,0))
+5 SET AR=+$PIECE(DGPM0,"^",12)
SET SOA=+$GET(^DGPT(+$PIECE(DGPM0,"^",16),101))
+6 QUIT $DATA(^DIC(43.4,"D",17.45,AR))!($DATA(^DIC(45.1,"B","1T",SOA)))
+7 ;
ASIH(PM) ; Is patient movement an ASIH movement?
+1 ; Input: PM - 0th node of patient movement in file #405
+2 ; Returned: ASIH Movement? (1 - yes, 0 - no)
+3 QUIT "^13^14^40^41^42^43^44^45^46^47^"[("^"_$PIECE($GET(PM),"^",18)_"^")
+4 ;
CVA(DFN) ; Is CHAMPVA the patient's Primary Eligibility?
+1 ; Input: DFN Returned: Prim Elig = CHAMPVA? (1 - yes, 0 - no)
+2 QUIT $PIECE($GET(^DIC(8,+$GET(^DPT(+$GET(DFN),.36)),0)),"^",9)=12
